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121. Learning from tragedy: the Julia Berg story. | PSNet
     psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
     October 28, 2020 - Commentary Learning from tragedy: the Julia Berg story. … Learning from tragedy: the Julia Berg story. … Learning from tragedy: the Julia Berg story. … June 8, 2022 Improving diagnostic performance through feedback: the Diagnosis Learning … September 1, 2021 Adverse events and perceived abandonment: learning from patients' accounts

122. The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. | PSNet
     psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
     May 12, 2010 - Classic The Fifth Discipline: The Art & Practice of The Learning … Citation Text: The Fifth Discipline: The Art & Practice of The Learning Organization.  … Senge’s seminal and oft-referenced book outlines five competencies that support a learning organization … : systems thinking, personal mastery, mental models, building shared vision, and team learning. … November 5, 2015 Learning from Disasters: A Management Approach. Third ed.

123. The Child Health PSO at 10 years: an emerging learning network. | PSNet
     psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
     August 04, 2021 - Commentary The Child Health PSO at 10 years: an emerging learning network. … The Child Health PSO at 10 Years: an emerging learning network. … This article describes the development of the Child Health PSO and how it evolved into a learning network … The Child Health PSO at 10 Years: an emerging learning network. … October 27, 2021 Measuring psychological safety and local learning to enable high reliability

124. The effect of evidence in crisis learning: based on a perspective integration framework. | PSNet
     psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
     March 24, 2019 - Commentary The effect of evidence in crisis learning: based on a perspective integration … The effect of evidence in crisis learning: based on a perspective integration framework. … The effect of evidence in crisis learning: based on a perspective integration framework. … May 31, 2017 Diagnostic assessment of deep learning algorithms for detection of lymph … March 6, 2024 Learning from non-routine events and teamwork in intensive care units:

125. Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada. | PSNet
     psnet.ahrq.gov/issue/safe-opioid-prescribing-prognostic-machine-learning-approach-predicting-30-day-risk-after
     July 22, 2020 - Study Safe opioid prescribing: a prognostic machine learning approach to predicting … Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid … Alberta, Canada, who received an opioid prescription from 2017-2018, the authors developed machine learning … Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid … December 8, 2021 A machine learning approach to reclassifying miscellaneous patient safety

126. Using learning communities to support adoption of health care innovations. | PSNet
     psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations
     March 15, 2017 - Commentary Using learning communities to support adoption of health care innovations … Using Learning Communities to Support Adoption of Health Care Innovations. … The learning communities focused on patient-centered care, improving medication therapy for distinct … Using Learning Communities to Support Adoption of Health Care Innovations. … May 30, 2018 An organizational learning framework for patient safety.

127. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet
     psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
     June 12, 2013 - Classic An Organisation with a Memory: Report of an Expert Group on Learning … Citation Text: An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events … Copy Citation Related Resources From the Same Author(s) Learning how to learn … June 12, 2013 A Safer Place for Patients: Learning to Improve Patient Safety. … June 17, 2014 Learning how to learn: compliance with patient safety alerts in the NHS

128. Learn Not Blame. | PSNet
     psnet.ahrq.gov/issue/learn-not-blame
     November 14, 2011 - campaign to shift response to errors from blame to an approach that embraces fairness , openness, learning

129. Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet
     psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
     August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights … Implementing an interprofessional patient safety learning initiative: insights from participants, project … Implementing an interprofessional patient safety learning initiative: insights from participants, project … August 14, 2014 On the ball: leadership for patient safety and learning in critical care … April 19, 2023 Learning from near misses: from quick fixes to closing off the Swiss-cheese

130. The relationship between organizational leadership for safety and learning from patient safety events. | PSNet
     psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events
     November 27, 2009 - Study The relationship between organizational leadership for safety and learning … The relationship between organizational leadership for safety and learning from patient safety events … This Canadian study sought to quantify the relationship between leadership and organizational learning … The relationship between organizational leadership for safety and learning from patient safety events … : development of a multilevel model of learning and propositions.

131. Patients as partners in learning from unexpected events. | PSNet
     psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events
     December 15, 2021 - Study Patients as partners in learning from unexpected events. … Patients as Partners in Learning from Unexpected Events. … Patients as Partners in Learning from Unexpected Events.

132. When machine learning goes off the rails. A guide to managing the risks. | PSNet
     psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
     June 28, 2011 - Newspaper/Magazine Article When machine learning goes off the rails. … Citation Text: When machine learning goes off the rails. A guide to managing the risks. … This article discusses how machine learning can create unanticipated risks in the context of health … Copy URL Cite Citation Citation Text: When machine learning … August 31, 2022 Machine learning is booming in medicine.

133. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. | PSNet
     psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
     July 08, 2016 - Classic Best Care at Lower Cost: The Path to Continuously Learning … Citation Text: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. … Committee on the Learning Health Care System in America, Institute of Medicine. … Committee on the Learning Health Care System in America, Institute of Medicine. … Committee on the Learning Health Care System in America, Institute of Medicine.

134. Understanding and learning from organisational failure. | PSNet
     psnet.ahrq.gov/issue/understanding-and-learning-organisational-failure
     April 19, 2011 - Commentary Understanding and learning from organisational failure. … Understanding and learning from organisational failure. Qual Saf Health Care. 2003;12(2):81-2. … Understanding and learning from organisational failure. Qual Saf Health Care. 2003;12(2):81-2. … March 3, 2011 Learning from litigation. … June 22, 2009 Exploring the barriers to learning from crisis: organizational learning

135. National Reporting and Learning System Research and Development. | PSNet
     psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
     April 06, 2016 - Book/Report National Reporting and Learning System Research and Development. … Citation Text: National Reporting and Learning System Research and Development. … reporting has achieved varying levels of success in encouraging transparency and facilitating system learning … Cite Citation Citation Text: National Reporting and Learning … September 16, 2015 Learning Not Blaming.

136. Pharmacist work stress and learning from quality related events. | PSNet
     psnet.ahrq.gov/issue/pharmacist-work-stress-and-learning-quality-related-events
     January 07, 2016 - Study Pharmacist work stress and learning from quality related events. … Pharmacist work stress and learning from quality related events. … Pharmacist work stress and learning from quality related events. … January 7, 2016 Quality-related event learning in community pharmacies: manual versus … February 6, 2019 Developing a learning health system: insights from a qualitative process

137. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet
     psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
     November 25, 2015 - Thinking About Learning for Improvement in Health Care. … Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. … lasting improvements in response to the Francis inquiry , this report discusses a model that focuses on learning … Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H.

138. Learning from adverse events and near misses. | PSNet
     psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses
     January 15, 2020 - Commentary Learning from adverse events and near misses. … Learning from adverse events and near misses. … Learning from adverse events and near misses. … January 23, 2017 Safety considerations in learning new procedures: a survey of surgeons

139. Patient safety: learning from the aviation industry. | PSNet
     psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
     September 03, 2011 - Commentary Patient safety: learning from the aviation industry. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.

140. Agent of change. | PSNet
     psnet.ahrq.gov/issue/agent-change
     September 01, 2021 - Chief Learning Officer. July/August 2018;17:22-25. … Chief Learning Officer. July/August 2018;17:22-25. … Organizational learning is an essential element of safety culture. … Chief Learning Officer. July/August 2018;17:22-25. … May 30, 2018 A learning health care system using computer-aided diagnosis.